I've been pondering for nearly 40 years if a person or a system manager a positively effect a person's care. I started working on this question at one of my very first positions at a cancer rehabilitation research project. One of the primary objectives was to reduce the use of the emergency room by person's with receiving cancer therapies. We were successful in identifying more social determinants and the unanticipated consequences of interjecting a 'care manager' between the patient and their clinician. The conversation has been added to substantively by a recent brief "Finding a Match: How Successful Complex Care Programs Identify Patients"